Excerpts From an Annual Compliance Report: Communicating What the Program Accomplishes

By Nina Youngstrom

The University of Kansas Health System’s compliance team has produced a year-end report for the first time, and a few excerpts of the 50-page report are below.[1] Christine Hogan-Newgren, chief compliance and internal audit officer, and Dianna Siefering, compliance specialist, hope the report, which includes a variety of metrics, will demonstrate the value of compliance and improve understanding of the different controls the compliance program develops, implements and oversees. Contact Christine Hogan-Newgren at chogan-newgren2@kumc.edu and Siefering at dsiefering@kumc.edu.

Ambulatory/Provider Compliance

Total Audits Completed include the following:

  • Scheduled Audits

    • Routine

    • New Provider

    • Follow Up Audits performed in the audit tool – MD Audit Enterprise

  • Targeted Reviews Audits (performed for a special reason / request)

    • New CPT codes

    • Updated coding guidelines

    • OIG focus

    • Performed in the audit tool – MD Audit Enterprise

  • Requested Audits

    • Provider requests for an audit on his/her documentation outside of the regular audit schedule

*See Special Key Notes for Details

Special Key Notes

  1. Additional 2021 E/M Changes Targeted Reviews - July 2021

  2. Completed 2021 E/M Changes Targeted Reviews - August 2021

  3. Emergency Department Moderate Sedation and Procedure Review September 2021

  4. Targeted review for Facet Joint Injections, ESI, CVM Inpatient Rounding, APP 2021 E/M Changes Targeted Review - January 2022

  5. iProc and Ophthalmology EM vs Eye Evaluation Code Targeted Review - February 2022

  6. May / June 2022 - Comprehensive Critical Care Shared Service Review and other comprehensive targeted reviews throughout the earlier part of the year

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